<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
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<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>Contacts Us</title>
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<body style="font-family: arial;">
	<form action="josephm@longtailcap.com" method="post">				
				    <table align="left" border="0" cellpadding="0" cellspacing="0">
				    <tr>
				    	<td><div style="text-align: right; font-weight: bold; font-size: 12px; color: #173981; margin-bottom: 10px; margin-right: 5px">*Name:</div></td>
				    	<td><div style="margin-bottom: 10px"><input type="text" name="name" size="45" maxlength="45" style="width: 265px;"/></div></td>
				    </tr>
				    <tr>
				    	<td><div style="text-align: right; font-weight: bold; font-size: 12px; color: #173981; margin-bottom: 10px; margin-right: 5px">Company:</div></td>
				    	<td><div style="margin-bottom: 10px"><input type="text" name="company" size="45" maxlength="45" style="width: 265px;"/></div></td>
				    </tr>
				    <tr>
				    	<td><div style="text-align: right; font-weight: bold; font-size: 12px; color: #173981; margin-bottom: 10px; margin-right: 5px">*E-mail:</div></td>
				    	<td><div style="margin-bottom: 10px"><input type="text" name="email_address" size="45" maxlength="45" style="width: 265px;"/></div></td>
				    </tr>
				    <tr>
				    	<td><div style="text-align: right; font-weight: bold; font-size: 12px; color: #173981; margin-bottom: 10px; margin-right: 5px">*Inquiry:</div></td>
				    	<td><div style="margin-bottom: 10px"><input type="text" name="inquiry" size="45" maxlength="45" style="width: 265px;"/></div></td>
				    </tr>		  				    					    				      
				    <tr>
				    	<td><div style="text-align: right; font-weight: bold; font-size: 12px; color: #173981; margin-bottom: 10px; margin-right: 5px">(*)Required</div>
				    	<div style="margin-top: 5px; text-align: left;" >
								<input type="submit" value="Submit">
						</div>				    	
				    </tr>				    
				    </table>				   
				    
 	 </form>
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